Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $389.05	Professional		$138.04	$181.97	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $741.31	Professional		$158.49	$234.42	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $275.42	Professional		$131.83	$144.54	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $512.86	Professional		$251.19	$416.87	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $446.68	Professional		$251.19	$331.13	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $1,318.26	Professional		$169.82	$338.84	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $316.23 / $457.09	Professional		$10.96	$316.23	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $1,348.96	Professional		$794.33	$1,348.96	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $831.76 / $1,000.00	Professional		$346.74	$831.76	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $645.65	Professional		$165.96	$281.84	$645.65